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Deficiency Records for Bishop Care Center

A list of the most recent deficiencies for Bishop Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Bishop Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-26 2024-07-01 Y
Respond appropriately to all alleged violations. Health 2024-06-26 2024-07-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-13 2024-06-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-03 2024-06-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-18 2024-03-27 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-03-11 2024-03-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-03-18 Y
Respond appropriately to all alleged violations. Health 2023-11-30 2024-01-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-15 2023-11-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-27 2023-10-09 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-09-27 2023-10-09 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-05-24 2023-07-03 N
List the names and contact information of those in the facility. Fire Safety 2023-05-24 2023-07-03 N
Provide emergency officials' contact information. Fire Safety 2023-05-24 2023-07-03 N
Conduct testing and exercise requirements. Fire Safety 2023-05-24 2023-07-03 N
Use approved construction type or materials. Fire Safety 2023-05-24 2023-07-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-05-24 2023-07-03 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-05-24 2023-07-03 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-05-24 2023-07-03 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-24 2023-07-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-24 2023-07-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-05-24 2023-07-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-24 2023-07-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-05-24 2023-07-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-24 2023-07-03 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-06-07 2023-06-21 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-11 2023-06-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-11 2023-06-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-11 2023-06-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-11 2023-06-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-11 2023-06-10 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-05-11 2023-06-10 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-05-11 2023-06-10 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-05-11 2023-06-10 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-05-11 2023-06-10 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-05-11 2023-06-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-11 2023-06-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-02 2023-03-14 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-02-23 2023-03-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-20 2023-03-06 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-02-20 2023-03-06 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-11-17 2022-12-06 Y
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Health 2022-11-17 2022-12-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-21 2022-08-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-10 2022-06-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-13 2022-02-16 Y
Establish staff and initial training requirements. Fire Safety 2019-11-06 2019-12-18 N
Use approved construction type or materials. Fire Safety 2019-11-06 2019-12-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-11-06 2019-12-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-06 2019-12-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-11-06 2019-12-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-06 2019-12-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-10-10 2019-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-10 2019-11-08 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-10-10 2019-11-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-10-10 2019-11-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-10 2019-11-08 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-03-12 2019-04-17 N
Establish staff and initial training requirements. Fire Safety 2019-03-12 2019-04-17 N
Conduct testing and exercise requirements. Fire Safety 2019-03-12 2019-04-17 N
Use approved construction type or materials. Fire Safety 2019-03-12 2019-04-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-03-12 2019-04-17 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2019-03-12 2019-04-17 N
Install proper backup exit lighting. Fire Safety 2019-03-12 2019-04-17 N
Provide properly protected cooking facilities. Fire Safety 2019-03-12 2019-04-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-03-12 2019-04-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-12 2019-04-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-03-12 2019-04-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-03-12 2019-04-17 N
Have proper medical gas storage and administration areas. Fire Safety 2019-03-12 2019-04-17 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-11-08 2019-01-02 N
Ensure each resident receives an accurate assessment. Health 2018-11-08 2019-01-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-11-08 2019-01-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-11-08 2019-01-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-08 2019-01-02 N
Provide and implement an infection prevention and control program. Health 2018-11-08 2019-01-02 N

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